Michael Abraham II, ATC, PES
Individual provider Active NPI Specialist · Fort Mill, SC
NPI 1306297346 · NPPES record last updated Jun 30, 2016
Key facts
- NPI
- 1306297346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 1400 A O Jones Blvd
Fort Mill, SC 29715-1625 - Phone
- (803) 835-0000
- NPI assigned
- Jun 30, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | SC | Yes |
Addresses
Primary practice location
1400 A O Jones Blvd
Fort Mill, SC 29715-1625
Mailing address
4021 Pennington Rd
Rock Hill, SC 29732-9236
Other providers in Fort Mill, SC
- A New Leaf Home Care LLC
- A Traveler'S Hand, LLC
- Randa Ali Abbas
- Abide Home Care
- Modinat Fadeke Abiodun
- Acacia Chiropractic Clinic PLLC
- Ace Clinic of Chiropractic, LLC
- Jeremy L Adams
- Kayonna Adams
- Adrian S Lineberger IV DDS III LLC
All providers in Fort Mill, SC · Specialist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.